Smith, Mary Lou S

Smith, Mary Lou S is an individual health care provider with primary practice located at 1840 Eldron Blvd Se Ste 1 , Palm Bay FL 32909-6871. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Smith, Mary Lou S can be contacted via phone (321) 312-4580.

Contact Information

Primary practice address
1840 Eldron Blvd Se Ste 1 Palm Bay FL 32909-6871
Phone: (321) 312-4580
Fax: (321) 914-4053
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X ARNP9431231 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9431231 Florida

Profile Details

NPI number 1467413237
LBN Legal business name Smith, Mary Lou S
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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